Seeing is believing - Blue Cross of Idaho Medicare

Seeing is believing

With a Blue Cross of Idaho vision plan administered by VSP, you get comprehensive coverage that helps keep your eyes healthy. Many health plans, including traditional Medicare, don't offer a vision benefit. A Medicare Advantage policy from Blue Cross of Idaho Care Plus, Inc. will help keep your vision in check.

2018 Vision Coverage

WELLVISION EXAM

You'll get the highest level of care, including a WellVision Exam? ? the most comprehensive exam designed to detect eye and health conditions. Plus, when you see a VSP provider, you'll get the most out of your benefit, have lower out-of-pocket costs, and your satisfaction is guaranteed.

$20

copayment

PRESCRIPTION GLASSES ? Frames (Genesis Collection) included*

? Lenses

included

? Standard progressive lenses Covered in full

? Scratch-resistant coatings Covered in full

? UV Coating

Covered in full

$35

copayment

Visit or call 800-877-7195 for more details on the coverage and exclusive savings and promotions available to

members.

USING YOUR BENEFIT IS EASY AS 1-2-3 ? Find an eye care provider who's right for you. To find a VSP provider, call 800-877-7195 or visit .

? At your appointment, tell them you have VSP. If you'd like a card as a reference, you can print one at after you register on the site.

? That's it! We'll handle the rest ? there are no claim forms to complete when you see a VSP provider.

PLAN INFORMATION VSP Coverage Effective Date: 01/01/2018 VSP Provider Network: VSP Advantage

Blue Cross Idaho Care Plus, Inc. Medicare Advantage Plans ? Elements Advantage and VSP provide you with an affordable eyecare plan.

Y0010_MK18020 Accepted

(over for plan information)

Get up to $110 back

Members can save big with VSP exclusive mail-in rebates on eligible popular contact lens brands from Bausch + Lomb and CooperVision.

$1,000 savings on LASIK

Members can save on LASIK at NVISION Eye Centers and TLC Laser Eye Centers

Save up to $2,500

Exclusive member extras, members can save with special offers and rebates through VSP and other leading industry partners.

Learn More

Visit specialoffers.

Benefit

WellVision Exam

Description Your Coverage with a VSP Doctor

? Focuses on your eyes and overall wellness ? Every 12 months

Copayment $20

Prescription Glasses

$35

*Frame (every ? Covered in full when selected from Genesis

other calendar Eyewear Collection (only available through

year)

VSP doctor)

? $50 allowance for frames outside of Genesis Collection

Included in prescription

glasses

Lenses (every other calendar year)

? Single vision, lined bifocal, and lined trifocal lenses

Included in prescription

glasses

Lens Enhancements (every other calendar year)

? Standard progressive lenses ? Scratch resistant coatings ? UV coating

Covered in full Covered in full Covered in full

Contacts

? $100 allowance for contacts and contact

(instead of

lens exam (fitting and evaluation)

glasses; every ? 15 percent savings on a contact lens exam

$0

other calendar (fitting and evaluation)

year)

Extra Savings and Discounts

Laser Vision Correction ? Average 15 percent off the regular price or 5 percent off the

promotional price; discounts only available from contracted facilities

Your Coverage with Out-of-Network Providers

Visit for details if you plan to see a provider other than a VSP network provider.

Exam .................................. up to $45 Frame................................. up to $50 Single Vision Lenses.........up to $30 Lined Bifocal Lenses.........up to $50

Lined Trifocal Lenses....... up to $60 Progressive Lenses .......... up to $50 Contacts .......................... up to $100

VSP guarantees coverage from VSP doctors only.

Blue Cross of Idaho Care Plus, Inc. is a Medicare Advantage health plan with a Medicare contract. Enrollment in Blue Cross of Idaho Care Plus, Inc. depends on contract renewal. The formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary. Blue Cross of Idaho Care Plus, Inc. complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. ATENCI?N: si habla espa?ol, tiene a su disposici?n servicios gratuitos de asistencia ling??stica. Llame al 1-888-494-2583 (TTY: 1-800-377-1363).Llame al 1-888-494-2583 (TTY: 1-800-377-1363). 1-888-494-2583 (TTY: 1-800-377-1363) Y0010_MK18020 Accepted

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